Mask ventilation is an essential and fundamental skill in airway management. [1] Anticipating difficult mask seal, Proseal was used for ventilation instead of a conventional facemask. Awake fiberoptic intubation could have been the method of securing airway but the equipment was malfunctioning. The difficult airway algorithm of American Society of Anesthesiologists recommends use of supraglottic devices in failed ventilation/intubation. [2]

Case reports document the utility of supraglottic devices in restoring the ability to ventilate patients who could neither be ventilated nor intubated immediately after induction of general anesthesia. [3],[4],[5],[6] Proseal has been found useful in management of the difficult airway and for airway rescue. [5]